| NPI | 1154767010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE KING Executive Director 212-867-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 639361-1) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |